Healthcare Provider Details

I. General information

NPI: 1396155115
Provider Name (Legal Business Name): TRUSTED ELDERLY HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 MAIN ST STE 14
WOBURN MA
01801-2983
US

IV. Provider business mailing address

623 MAIN ST STE 14
WOBURN MA
01801-2983
US

V. Phone/Fax

Practice location:
  • Phone: 781-884-7243
  • Fax:
Mailing address:
  • Phone: 781-884-7243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: ANN NANSUBUGA
Title or Position: PRESIDENT
Credential:
Phone: 781-884-7243